How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $91.20 Median $97.72 Typical High $97.72 | Facility | None | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | None | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $47.86 | $47.86 |
BCBS Alabama Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $70.79 Median $95.50 Typical High $120.23 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $70.79 | $95.50 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $75.86 | Professional | None | $32.36 | $38.02 | $75.86 |
United Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $97.72 | Facility | None | $77.62 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $87.10 | Professional | None | $61.66 | $75.86 | $87.10 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $72.44 Median $74.13 Typical High $91.20 | Professional | GP · Physical therapy plan | $72.44 | $74.13 | $91.20 |
Where Alabama sits
The same service costs 3.3 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 30th of 51
$83.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.